EditorI fully agree with the comments made about the ultrasound appearances of chest wall, ribs and pleura, and the safer site for puncture being more lateral. We have reported this approach in a subsequent clinical series of 200 patients.2
Leeds, UK
E-mail: andy.bodenham{at}leedsth.nhs.uk
Footnotes
This letter was originally submitted as an E-letter.
References
1 Galloway S and Bodenham A. Ultrasound imaging of the axillary veinanatomical basis for central venous access. Br J Anaesth 2003; 90:58995
2 Sharma A, Bodenham AR, Mallick A. Ultrasound-guided infraclavicular axillary vein cannulation for central venous access. Br J Anaesth 2004; 93:18892
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